<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
</head>

<body>
    <form action="">


       
        <table> <caption >
            <h3>大学生心理健康调查表</h3>
        </caption>
            <tr>
                <td> <label for="xingming">姓名</label> </td>
                <td> <input type="text" required="required" name="name" id="xingming"/> </td>
            </tr>
            <tr>
                <td>性别</td>
                <td>
                    <input type="radio" name="sex" checked="checked" id="nan"/><label for="nan">男</label>
                    <input type="radio" name="sex" id="nv"/><label for="nv">女</label>
                </td>
            </tr>
            <tr>
                <td><label for="邮箱">邮箱</label></td>
                <td><input type="email" id="邮箱" name="email" placeholder="请填写真实邮箱" /></td>
            </tr>
            <tr>
                <td> <label for="nl">年龄</label> </td>
                <td> <input type="number" name="nianling" id="nl"/></td>
            </tr>
            <tr>
                <td>籍贯</td>
                <td><select name="jiguan" >
                    <option value="beijing">北京</option>
                    <option value="shanghai">上海</option>
                    <option value="henan" selected="selected">河南</option>
                </select></td>
            </tr> 
            <tr>
                <td>出生日期</td>
                <td><input type="date" name="csrq"/></td>
            </tr>
            <tr>
                <td>上传身份证正反面</td>
                <td><input type="file" multiple="multiple" name="sfz"/></td>
            </tr>
            <tr>
                <td><h3>多选题</h3></td>
                <td></td>
            </tr>
            <tr>
                <td>下列哪些因素属于危险性行为因素</td>
                <td>
                    <input type="checkbox" name="weixian" />在过大的压力下生活<br/>
                    <input type="checkbox" name="weixian" />吸烟<br/>
                    <input type="checkbox" name="weixian" />暴力<br/>
                    <input type="checkbox" name="weixian" />跑步
                </td>
            </tr>
            <tr>
                <td></td>
                <td>简述大学生心理健康标准<br/> 
                   <textarea  cols="30" rows="10" placeholder="此处答题，字迹工整"></textarea></td>
            </tr>
            <tr>
                <td></td>
                <td><input type="checkbox" checked="checked"/>我承诺填写均为真实情况<a href="2.html" target="_blank">详细条款</a></td>
            </tr>
            <tr>
                <td></td>
                <td>
                    <input type="image" src="btn.png"/>
                     <input type="reset" value="重置"/>                
                </td>
            </tr>
        </table>









    </form>
</body>

</html>